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. 2013 Mar;16(3):383. doi: 10.1093/icvts/ivt025

eReply. Re: Criticism on a new marking technique for lung nodules identification

Masaya Kawada 1
PMCID: PMC3568835

We thank Baisi et al. for their favourable eComment on our article [1, 2]. We think that the first advantage of the intrathoracic stamping method is the avoidance of a pleural puncture or placement of the chest tube before operation. It is possible that an opaque marker lying on the skin is placed several days before operation, as they mentioned. In the case of dye spreading inside the pleural cavity, hence losing marking precision, we make the marking on the stamp of the visceral pleura using a needle with an attached thread. The greatest disadvantage is the position gap between the tumour and the marking because of surgical positions, needle insertion angles, and respiratory movements. In our experience, the stamped marking is within 1 cm of the lesion in all cases and so further study is necessary.

Conflict of interest: none declared

References

  • 1.Kawada M, Okubo T, Poudel S, Suzuki Y, Kawarada Y, Kitashiro S, et al. A new marking technique for peripheral lung nodules avoiding pleural puncture: the intra-thoracic stamping method. Interact CardioVasc Thorac Surg 2013;16:381–3 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Baisi A, Raveglia F, Cioffi U. eComment Criticism on a new marking technique for lung nodules identification. Interact CardioVasc Thorac Surg 2013;16:383. [DOI] [PMC free article] [PubMed] [Google Scholar]

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